Naess Oyvind, Claussen Bjørgulf, Smith George Davey
Institute of General Practice and Community Medicine, University of Oslo, Norway.
Scand J Public Health. 2007;35(6):570-6. doi: 10.1080/14034940701320846.
To examine indices of two plausible pathways linking housing conditions in childhood and adult cause-specific mortality: sanitary conditions and economic deprivation. To investigate if the effects of these are explained by education.
Linked register study (housing information from the 1960 Census, the educational register in 1990 and the death register 1990-998). A Sanitary Conditions Index (SCI) and an Economic Deprivation Index (EDI) were constructed from the housing conditions variables.
All men aged 30-54 years (n = 55,761) who were residents in Oslo on 1 January 1990 with complete information on housing conditions (80%).
Both SCI and EDI were related to all-cause mortality independently of each other. Education explained to a large extent these effects. In a sub-sample, 24% of the effects could be explained by parental education and 31% by own education. The effects found for causes of death failed to give a heterogeneous pattern between the two indices. In the fully adjusted model psychiatric causes of death appeared to be more related to EDI than SCI.
The two indices of childhood social circumstances, sanitary conditions and economic deprivation, appeared to be independently associated with all-cause mortality. The effect of both could to a large extent be explained by parental and own education.
研究两条可能将儿童时期住房条件与成人特定病因死亡率联系起来的途径的指标：卫生条件和经济贫困。调查这些因素的影响是否可以通过教育来解释。
关联登记研究（来自1960年人口普查的住房信息、1990年的教育登记信息以及1990 - 1998年的死亡登记信息）。根据住房条件变量构建了卫生条件指数（SCI）和经济贫困指数（EDI）。
1990年1月1日居住在奥斯陆且住房条件信息完整（80%）的所有30 - 54岁男性（n = 55,761）。
SCI和EDI均与全因死亡率独立相关。教育在很大程度上解释了这些影响。在一个子样本中，24%的影响可由父母教育程度解释，31%可由自身教育程度解释。死因方面的影响在两个指数之间未呈现出异质性模式。在完全调整模型中，精神疾病死因似乎与EDI的关联比与SCI的关联更强。
儿童时期社会环境的两个指标，即卫生条件和经济贫困，似乎与全因死亡率独立相关。两者的影响在很大程度上都可以由父母和自身教育程度来解释。
